Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 9423472-1205 | UT |
NPI | 1144492943 |
---|---|
Provider Name | Dr. Brian Craig Adams |
First Address | Murray, UT 84123-5632 |
Second Address | Ogden, UT 84403-2361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2008 |
Last Update Date | 14/02/2019 |